Provider Demographics
NPI:1316442338
Name:YASUKAWA, MAYA (MD, PHD)
Entity type:Individual
Prefix:
First Name:MAYA
Middle Name:
Last Name:YASUKAWA
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:MAYA
Other - Middle Name:
Other - Last Name:SATO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2 TAMPA GENERAL CIR FL 33606
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-3571
Mailing Address - Country:US
Mailing Address - Phone:813-844-4554
Mailing Address - Fax:
Practice Address - Street 1:2 TAMPA GENERAL CIR FL 33606
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-3571
Practice Address - Country:US
Practice Address - Phone:813-844-4554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-30
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLME157759207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic OncologyGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program